J Mullally MD PLLC
NPI 1699084889ActiveOrganization· Family Medicine· Port Huron, MI
Family Medicine in Port Huron, Michigan, registered in NPPES in October 2010. The authorized official on file is Beth A. Noble, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699084889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 5, 2010 |
| Last updated in NPPES | Oct 5, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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